# LYDIA HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lydia Home Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881778538
- **Authorized official:** MR. ANNICATTU VARGHESE JAMES (CFO)
- **Authorized official phone:** (972) 412-2379

## Contact information

- **Practice address:** 2805 CHAHA RD, ROWLETT, TX 75088-5995
- **Practice address phone:** (972) 412-2379
- **Practice address fax:** (972) 412-2977
- **Mailing address:** 2805 CHAHA RD, ROWLETT, TX 75088-5995
- **Mailing address phone:** (972) 412-2379
- **Mailing address fax:** (972) 412-2977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 009374 | TX | Yes |
| 251E00000X | Home Health Agency | 457921 | TX | — |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 08/22/2020
